Wednesday, October 30, 2019

Assignment question Research Paper Example | Topics and Well Written Essays - 250 words

Assignment question - Research Paper Example A hungry man can tell which one of the two is important: ecosystem or food. To meet this hunger, forest conversion becomes more important than forest conservation. Poor do not have the resources and materials to make the preservation possible. They have to cut down forests to make the land grow something that should be beneficial for them and their nation. For countries where hunger is prevailing, forests have no market value or economic function. Thus, to richer developed countries, it may be important to preserve ecosystems for carbon sinks and biodiversity because they can afford it; but, poorer countries have to do something to feed the nation first. United States went through deforestation many years back due to which it is a developed country now. It would not be fair to deny the poorer countries this opportunity. Agriculture development is the basic requirement of a country if it has to come at par with the modern world. However, to balance out the agricultural security ecosys tem preservation, there is need to devise strategic policies at national level.

Monday, October 28, 2019

Integrating basic skills Essay Example for Free

Integrating basic skills Essay Graphing and Social Studies The Rationale Graphing skills are in important tool for participating in adult society. As such, they should be emphasized and integrated into the curriculum. Including a graphing exercise as part of a larger social studies unit is a good way to reinforce math and interpretive skills. A graphing exercise gives the student an opportunity to demonstrate what has been learned in a creative way. Reproducing the information in graphical form also helps the students to see the big picture. It helps them see how different elements relate, and it provides a visual representation of the information that can be more easily remembered. As adults, the students will find that graphs are not solely a mathematical element. Graphs are a way we communicate concepts as well as data. Early integration of this skill into a child’s education can only be beneficial. The Exercise Software and internet sites to assist graphing activities are plentiful. For this exercise, the Create a Graph website (http://nces. ed. gov/nces/kids/graphing/) sponsored by the National Center for Education Statistics will be used. The students have been studying the Plymouth Plantation. This lesson points out that the Pilgrims attained a new sense of freedom, but it was not without hardship. The graphing exercise is designed to reinforce this concept. Before the exercise begins the teacher will run through a brief graphing tutorial. To begin, the students will each receive one of three different assignment sheets. They will later be divided into groups based on which assignment they receive. The students in group one will receive a handout summarizing the information obtained in the part of the lesson called â€Å"Step 2. † Their task will be to construct a graph at the Create a Graph website comparing the speeds of various forms of transportation, present and past, including the Mayflower. A bar chart will be suggested. The students may discuss the project as a group, but each student must complete a chart. The second group will receive a handout summarizing the climatic data obtained in â€Å"Step 3. † They will construct a chart showing the average temperature highs and lows for each month of the year. An area chart will be suggested. The third group will receive a handout describing population levels of colonists and natives in the area in the years 1620-1640. They will be asked to construct charts showing the population distribution (men, women, Native Americans) in the years 1620 and 1640. Pie charts will be suggested. Copies of each graph will be printed for each student in the group. Fonts, colors and labels will be at the discretion of the students, but the students will be asked to keep in mind that their chart must explain the data clearly to someone who might not already be familiar with it. After everyone has completed a chart they will return to groups to discuss their results. The graphs in each group will not be identical, but they should be similar. Each group will then be asked an interpretive question: â€Å"What is your graph telling us? † The answer should be one written sentence. The idea is to present a very concise summary of the information, i. e. The population difference between men and women shrunk between 1620 and 1640. The teacher will choose one or two members of each croup to present their graph, describe the process of making it, and describe the meaning. To reinforce the experience, the students will be asked, as a class a series of follow up questions including the following: Could we have used different types of graphs to present the data? Why or why not? Why do we use graphs? What do the graphs tell you about life on Plymouth? The graphing exercise will help students visualize the data. They can then draw their own conclusions about what the data means. They will gain exposure to the different types of graphs and when it is appropriate to use each. It is also another chance to integrate interactive technology into the students learning experience. The group format will allow students to exchange ideas and develop for themselves a more creative learning experience. As with any group exercise, the job of the teacher is to facilitate interaction and full participation of the students. Sources Bergen County Intermediate School District. (2006). Technology Curriculum Integration Ideas! Retrieved 7/2/2006 from: http://www. remc11. k12. mi. us/bcisd/classres/intideas. htm Brooks, Susan Byles, Bill. (2006). Idea Starters for using Technology in the Classroom. Retrieved 7/2/2006 from: http://www. internet4classrooms. com/integ_tech_lessons. htm Evans, Janet. (2005). Literacy Moves On: Popular Culture, New Technologies, and Critical Literacy in the Elementary Classroom. New York: Heinemann. Howell, Will C. (1987). Grid and graph it: graphing activities for listening and following directions, grades 4-6. Belmont, Calif. : Fearon Teacher Aids. National Center for Education Statistics. (2006). Students Classroom: Create a Graph. Retrieved 7/2/2006 from: http://nces. ed. gov/nces/kids/graphing/ Starr, Linda. (2003). Technology Integration Ideas that Work. Retrieved 7/2/2006 from: http://www. education-world. com/a_tech/tech/tech176. shtml Ventura, Fred. (2006). Graphing and Computers in Grades 3-5. Retrieved 7/2/2006 from: http://www,venturaes. com/graphing/.

Friday, October 25, 2019

War in Iraq :: war, Iraq, USA,

1. There was very little evidence and the United States acted prematurely. The evidence itself is confusing and somewhat misleading. As we look on the invasion many Americans were very enthusiastic about going to war with Iraq. However, we’re not trying to think about why we were not there or trying to justify other than speculate the following reasons. Did Iraq have weapons of mass destruction or was the United States to find about their military power? Possibly, the United States was trying to eliminate Saddam and his regime to promote democracy and peace. I think because of the 9/11 tragedy and maybe control of the oil resources gave the United States a reason to act like they did. 2. The approval rate of other countries is justified because no one likes a bully! And frankly the United States has been fitting this description all too well by showing countries that if you mess the United States your messing with the bull. President Bush proved this by making a 48 hour notice and invading Iraq exactly on the 48 hour mark. This shows other countries that the United States means business. If I could I would love to live in another country such as Australia. I believe that my view of American politics would drastically change! Maybe for the better because I would not be under the hammer so to speak. Indirectly, if American politics did not include the country I was living in. I would not take the time to care. 3. I have two opinions of this one Britain being an ally it should be there good pleasure to help in any way to fight the war in Iraq. Because the United States I feel would have done the same for Britain. That is just good relations between allied countries. If Britain did not help the United States they probably would not consider Britain to be a good ally to keep relations going like they have. My second opinion is that Britain should have not got involved with the United States against Iraq. For the simple fact, a big majority of Muslims lives there. Thereby making a terrorist attack more eminent. Britain should have negotiated a term to help the United States only in a real emergency.

Thursday, October 24, 2019

A Synopsis of the Documentary Live Nude Girls Unite Essay

Live Nude Girls Unite The film â€Å"Live Nude Girls Unite† is a documentary recorded by the exotic dancers themselves that takes their audience on their journey as they try to unionize their jobs. The dancers were fed up with the treatment and minimal pay they were receiving for their performances. They were not assigned a lawyer but had a negotiator that helped them with their bargaining agreement. These exotic dancers were not disrespected by their costumer’s but also by their employees. Dancers were not allowed sick days and sometimes lost their jobs because of their inability to find another look-a-like dancer to fill their slot. I think the unionization of the sex workers was a viable idea. These dancers deserve the same benefits many other employees receive such as sick pay, health insurance, and respect from their management. Because sex workers are usually stereotyped as sluts, society believes their work should not include benefits. Since they had many people against their request to form a union, it took them many months of negotiating to receive minimal benefits, but it was the start of a new revolution for other sex workers across the country. As word began to spread about the newly formed union in San Francisco, the formation of unions began to spread all over. Numerous exotic dancers now receive benefits through their employers and are getting the fair treatment they deserve. They are protected from unlawful dismal from their jobs and racial discrimination when it comes to who works certain shifts. If the sex workers had no taken a stance to improve their working system many would still be treated unfair.

Wednesday, October 23, 2019

Prevention of Teenage Pregnancy Essay

Description: Preferred language style: English (U.S.). Each student will complete a 15–20 page paper in which they will discuss current issues facing adolescents today and how a counselor should deal with these areas. The paper must be in APA style with a minimum of 15 current references (within five years). This paper is to be 15-20 pages in length, and that means the body of the paper itself -not the title page, abstract, etc†¦The topic is Adolescent Sexuality: PREVENTION OF TEENAGE PREGNANCY. Adolescent Sexuality: PREVENTION OF TEENAGE PREGNANCY Name: School: University: Adolescent Sexuality: Prevention of Teenage Pregnancy Abstract: One of the commonest problems faced by teens in the several nations, has been the issue of teenage pregnancy. Although, the rates of teenage pregnancy are decreasing, there are still several problems associated with the issue. As teenage pregnancy can be a huge social issue and most of them do not want a child, such pregnancies can create a negative impact on the quality of life of the teenage couple. The rise in teenage pregnancy has been due to several issues including faster onset of maturity, greater occasions of premarital sex, etc. Besides, teenage pregnancy is usually not preferred due to several issues such as greater rates of defects in the developing child, greater amount of maternal problems, social concerns, difficulties of the mother in bringing up the child, etc. In all cases, efforts should be made to support the pregnant teenage girl rather than ignore her. A teenage pregnancy prevention program should look into several areas that encompass teenagers including career development, education, STD’s, contraception, counseling, drug abuse, women’s health, etc. It should involve several parties including the parents, politicians, social workers, child and women groups, NGO’s, etc. The two techniques that are utilized frequently include abstinence and contraception. Studies have shown that school-based prevention program were successful in decreasing the rates of pregnancy amongst teens. Efforts should be on to include the entire society in the teenage pregnancy prevention program. There are several factors that may cause the teenager to indulge in irresponsible sexual behavior including social factors, psychological factors, family factors, etc. The counselors should always try to include the parents, family and the entire society in the prevention programs. If abstinence-based programs seem to be difficult, then the contraception-based programs may seem to be effective. The counselor may have to follow a holistic approach in solving the problems of the teens. The counselor should determine the characteristics of the teens and accordingly use these characteristics to motivate them further. Teens whose academic performance is superior may seem to gain more from pregnancy prevention programs. The teenage pregnancy program should also look at various issues that surround teenagers including STD’s, contraceptives, drug abuse, careers, higher education, etc. It is also important that the teenage pregnancy prevention program helps pregnancy teenage girls to quality life without any problems. They should be taught how to handle the social and family pressure that may develop resulting from unwanted pregnancy. It is important that the teenage program involve the teenagers. The US HHS and the CDC have shown a lot of interest in the teenage pregnancy programs in recent years. In developing nations, the rates of teen pregnancy are on the rise. On the other hand, in the developed nations such as the US and Canada, the rates of teenage pregnancies are decreasing due to greater awareness levels. In the US, about 97 per every 1000 teenage girls (usually between the ages of 15 to 19 years) get pregnant each year. Most of these pregnancies (about three-quarters) are usually not wanted. During the years 1999-2000, the rates of teenage pregnancies have dropped. The rates of teenage pregnancies are about 28 %, and the rate of teenage childbirths is about 21 %. There may be several reasons for teenage pregnancies (Weiss, 2000 & Huberman, 2005). These include: – 1. Girls are maturing faster, now between the ages of 12 to 13 years. 2. Teenage sex is very common. Before the girl reaches adulthood in the US, about 80 % of them would have had sex. 3. Teenagers are less likely to take precautions in order to prevent pregnancy. 4. Teenagers are not aware of the reproductive problems that can develop during the pregnancy period (Weiss, 2000). Teenage pregnancy can have serious consequences and implications (Weiss, 2000). These include: – 1. Several problems such as miscarriage, neonatal death, stillborn baby, maternal sickness, etc are higher in teenage girls than in pregnant women. 2. Children born from teenage girls have several problems including developmental problems, congential defects, low birth weight, neglect, child abuse, etc. 3. Socially, teenage pregnancy is not accepted. 4. The teenage mother is more likely not to take care of the child. She is more likely to smoke, consume excessive alcohol, subject the baby to abuse, etc. 5. The government has to spend a huge amount to solve the problems related to teenage pregnancies. These include public health problems, housing, assistance, childcare, legal issues (Weiss, 2000). Teenage pregnancy prevention programs should have a specific objectives and goals. Studies have shown that from previous teenage pregnancies that the Socio-economic life, standard of living, etc, would be very poor following teenage pregnancy. As it is one of the major public health concerns, the politicians should take up the issue on a priority basis. It is important that the teenage parents be supported rather than being ignored. The main goals of any teenage pregnancy program are to: – 1. To bring down the teenage pregnancy rates by at least 50 % by the year 2010 (this is an objective of the Healthy People 2010). 2. To include the teenagers themselves in the program so that the initiatives made come from this group of the population itself. Teenagers should be educated, trained and employed in the teenage welfare programs. Special emphasis should be made on focusing on the teenage pregnancy prevention. 3. The teenage pregnancy prevention programs should also focus on other areas including drug abuse, gynecological issues, career development, counseling, etc. This would ensure that all-round the teenager is given attention. 4. Voluntary services should be oriented towards understanding teenage behavior and changing them in order to bring about better attitudes and practices. 5. Several stakeholders including the politicians, government, judiciary, social welfare groups, public, women’s groups, etc, should be involved in these programs. 6. Efforts should be organized at the national, regional and the local levels in order to help teenagers to develop appropriate attitudes and behaviors towards teenage pregnancies. 7. Adoption of better prevention techniques such as sex education, contraception, avoiding the risk factors, etc. 8. Supporting the teenagers and their parents so as to help them develop a good future. Also, to ensure that the teenagers get appropriate help in problematic situations. 9. Ensuring that the pregnant teen mother is given special attention during the pregnancy period. This would ensure that both the mother and the developing child is healthy and is able to get appropriate medical attention. Many may think that in a teenage pregnancy prevention program, the issues relating to the pregnancy period need not be considered. However, this should be an area of focus, as it would help to prevent further problems (Blank, 2003). The Government has begun to include teenage pregnancy prevention programs as one of the priority areas for the social cause. Initially, the government had a lot of problems associated with these programs. However, following a few initial hiccups, these programs have turned out to benefit the teenagers and their families in developing a fruitful life. One of the programs meant for teenage pregnancy prevention program is the School Health Policies and Programs Study 2006 or SHPPS 2006. It is basically performed to study the various health programs and policies conduced at the classroom level. in the year 2000, about 45 % of the states belonging to various middle schools taught about pregnancy prevention, and in the year 2006 it increased to about 59%. With relation to high schools, this figure similar. The number of hours spent teaching on pregnancy prevention also varied in high, middle and elementary schools. In high schools it was 3.5 hours, 2.7 in middle schools and 1.3 in elementary schools. In high schools, 2.0 teachers were required to teach about pregnancy prevention in the year 2000, which increased to 2.6 in the year 2006. About 38 % of the districts and about 20 % of the states provided about pregnancy prevention services. These services were either provided on a one to one basis or on a group basis. About 28.4 % of the district authority provided for services on the local property rather than on the schools property. About 97 % of the schools provided for pregnancy prevention. About 28.7 % of the schools provided for pregnancy prevention programs through arrangement from outside organizations. The number of staff members who received training also varied. About 30.6 % of the staff had training on pregnancy prevention, 17 % had training on prenatal care and 14 % had training in childcare, 2 years before the program started. 20 % of the psychiatric service staff had training in pregnancy prevention and 13 % had training in child care (SHPPS, 2006). Currently, there are several issues, which could be responsible for promoting teenage pregnancy prevention. Many of the teenage prevention programs may not be successful, as they do not involve the society as a whole. The program strategy may be such that it lacks some amount of reality leading to a failure. Hence, the social blanket needed for the program to be a success should be greater. Furstenberg considers that the conflict present on sexuality needs to be resolved especially the cultural and the political tendencies. As the attitudes and behavior of the society towards teenage pregnancies has not been corrected so far, it may be difficult to control teenage pregnancy. Hence, methods adopted to prevent pregnancy can be adopted. The intervening variables include: – 1. Controlling age of entry to the sexual unions – There has been a dramatic increase in the number of teenagers who have sex before the marriage. In the 1950’s and the 1960’s, this figure was about 10 %, and in the 1970’s and the 1980’s this figure was 20 %. There could be many causes for this including peer pressures, lack of pressure from the home, trend in dating, etc. There has been also a rise in the cases of venereal diseases affecting the teenage population. Many a times, the teenage population is not exposed to family or parental discussions on sex and childbearing. This has created even greater number of problems. Family discussions usually create healthy practices and attitudes. Studies conducted in schools on teenage boys and girls demonstrated that family teaching had a great role. When family opposition was present without any kind of support or understanding, the teenagers indulged in sexual activity. One important fact to note was that it was not always true when there was an increase in the teenage sexual activity, there would be an increase in the teenage pregnancy rates. In the year 1979, there was an increase by about 50 % in the rates of sex in teenage girls. However, there was also a rise in 50 % in the contraceptive use. Studies have shown that use of contraceptives always did not help to prevent pregnancy, and hence something more was required (Kohli, 2007). 2. Contraception use – Studies conducted in the US and the Western European region demonstrated that even though the teenage sexual activity rates were similar in both the regions, the rate of teenage pregnancy rates were higher in the US compared to the Western European region. One of the main reasons as to why teenage girls become pregnant is that they do not stress upon the need to use a contraceptive. Some teenagers feel that they are not sexually active and feel that they would not need a contraceptive. Teenagers would also not like to make long-term decisions about their life. They may behave in an immature and irresponsible way due to their young age. Teenagers may always feel shy of purchasing a contraceptive. They may also not consider the risk of getting pregnant as real and may not use their knowledge to help prevent the pregnancy. Many girls fear that they would be losing a boy friend due to rejection if they did not have sex with him. This type of fear has lead to several problems. In true fact, it has been seen that girls usually prefer long-term relationships and boys prefer short-term relationships. Most boys would have no idea of contraception and pregnancy, and would usually leave it up to the female to prevent herself from getting pregnant (Kohli, 2007). 3. Use of abortion 4. Use of adoption Psychological factors associated with teenage pregnancy – Most of the teenage girls do not intent to have a child during their teenage period due to a variety of factors including the need to grow and develop academically, social factors, etc. Only a small proportion of teenagers would like to have an infant and improve their mission in life. The bringing of a child would also increase the relationship and the bonding to their boyfriends. Teenage pregnancy would also improve the chances of becoming independent, stepping into their motherhood, etc. However, the psychological problems created by teenage pregnancy are more often negative. It creates a sense of low self-esteem. Teenagers who become pregnant may not be given the same amount of respect and esteem as before. This is mainly due to the engagement in sex. These psychological pressures would invariable lead to poor academic performances. Poor performance in academics may in turn create a lot of psychological pressure for the teenager and may lead to irresponsible sexual behavior. If the sexual behavior is responsible and if the child was intelligent and understanding, it was found that the academic record was also good (Kohli, 2007). Family Factors – Family communication holds a vital key in helping prevent teenage pregnancy. The mother and the daughter need to hold vital discussions on how should teenage pregnancy are prevented. The teenage girl would use contraception infrequently and incorrectly if not advised by the mother. In the other side, important discussions between the father and the son would hold the key to responsible sexual behavior of the male teenagers. The parents and the child needs to invariable discussion about sex-related issues. This would certainly prevent anything untoward from happening. Frequently, it was found that the sexual behavior of the parents did not have an important role to play in permitting the child to have sex. Sons were less likely to follow the parental advice on sex than the daughters. Parents, who were friendly and attentive towards their children, resulted in the teenagers becoming less sexually active. If the parents take up the issue of contraception and sexual activity with the teenager at a young age, then the chances of the child staying close to the parents is high. Studies have shown that even if the parents approves of the child’s sexual practice through non-verbal means, the chances of developing healthy sexual behavior was high. In traditional families, the chances of having a binding daughter were higher, than the son. If the mother was a homemaker, the chances of the daughter sticking to the mother’s advice were higher. It was found that in the males, peer involvement had an even greater role to play than family factors. This is because boys may not want to discuss any sexual issue with the parent and instead prefer to discuss it with the friends. Boys may only want to discuss sexual issues with individuals of the same age and belonging to the same sex. Any bad company would create irresponsible sexual behavior. On the other hand, when it comes to girls, they are more often affected by the advice of the male teenager than with the advice of their female friends. When a single parent existed at home, the chances of developing irresponsible sexual behavior was higher. Sexual abuse and problems in the family, was more likely to be responsible for undesired sexual behavior in the teen. The teenager was likely not to give importance to self. Teenager who previously suffered from certain mental disorders or those who were involved in crime were at a greater chance of becoming pregnant (Kohli, 2007). Social factors – Children belonging to certain social groups are more likely not to indulge in sexual activity or use contraception as a mean to prevent pregnancy. It is usually seen that in restrictive societies, the chances of becoming pregnant during the teenage period are lesser. This is due to the restrictions placed by the families on the child to stay away from sex. Socio-economic status also plays an important role in helping to prevent getting pregnant. Hispanics and other sexual minorities due to their lower Socio-economic backgrounds are less likely to receive sexual advice from home and from school. They may also lack medical facilities and contraception (Kohli, 2007). A counselor conducting teenage prevention programs should use various methods to prevent the teenage girl from becoming pregnant. Some of the most frequently utilized methods of preventing teenage pregnancy include use of contraception and abstaining from sex. The counselor needs to ensure that both these methods are used either alone or in combination with one another, depending on the situation (Kohli, 2007). Children who belong to societies, which are having strict sexual code, would like the teenagers not to indulge in sexual activity. There may pressures from the family, school and society for the teenager to abstain from sex. The teenagers may be told to delay all sexual relationships until marriage. In such a circumstance, the counsellor would have to create attitudes and behaviors in the teenager so that they would delay all sexual activity until adulthood. One of the laws developed in the year 1996 was the Welfare reform law and this gave birth to the development of the Abstinence education program. Federal funds were being utilized in such a program to counsel and educate the teenagers of premarital sex and the need to abstain from it. Every year about 50 million dollars was spent on the program. Several activities were a part of the program. The HRSA developed a community-based abstinence program in the year 2001. Federal funds were utilized to educate the public about premarital sex. They also conducted education programs for students between the ages of 12 to 18 years. More than 20 million dollars was being spend every year on such programs (Kohli, 2007 & USHHS, 2002). The counselor would have a role to play in addition to that of the family. He should work in close association with the family and the school-based activities. Frequently, the counselor would be advising the school of the increased need to have school-based sex education classes. Some parents may not want their children to have school-based sex education classes and instead prefer to give them advice personally. In such circumstances, it is the duty of the counselor to advise the parents of the importance of such activities. In teenagers it is found that abstinence-based program may be difficult to prevent them from indulging in sexual activity, but would definitely help to prevent them from indulging in sexual activity until the age of 18 years (Kohli, 2007 & USHHS, 2002d). As teenage pregnancy has multiple factors responsible, the program to be successful and effective needs to adopt a holistic approach to solve the problem. One of the issues that the counselor needs to emphasis on is the need to continue education and literary to a higher level. Teenagers having higher intellectual capacity are more likely to get motivated and continue with education on a longer term. Some teenagers may also like the issue of getting employed and standing on one’s own feet. It is found that such students are more likely to follow the advise of the counselor and respond. The counselor should continuously motivate the teenager to use contraceptive during sexual activities or if possible to abstain from sex (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006). The counselor should also use the family as a role model to ensure that the teenager adopts healthy sexual practices. The teenager should be convinced about the strong family ties that are present. They should be told to take their mother and father as role models and lead a life that is going to be constructive in the future. Students belonging to various colleges may have a lot of creativity housed within them. They would like to use this skill to build a future. This could also be used as a point on which further motivation can be performed (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006). The intervention performed should not be single measures as a number of factors are involved that are related to teenage pregnancy. Some counselors would utilize various psychotherapy techniques to help the teenagers to adopt healthy sexual practices. Some of the psychotherapy techniques that could be utilized included family therapy, group therapy, support groups, couple therapy, etc (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006). All the issues that encompass sex and teenage matters need to be sorted out in a teenage pregnancy prevention program. Some of these issues include HIV/AIDS, responsible sexual behavior, use of contraceptives, drug abuse, etc. The teenagers should be motivated to lead a fruitful and a productive life. Many teenagers may feel depressed and hopeless in case they fall pregnant. However, a counselor should also be available to tackle such situations and offer the teenagers a way out. The counselor would have to adopt a stand that would encourage the teenager. Some of the points over which the teenager could be encouraged include: – 1. Make the teenager understand that young blood could be utilized for constructive purposes. 2. Helps the teen to build a life filled with purpose and responsibility. 3. Building a very promising future. 4. Helping teenagers who have had previous pregnancies and abortions to lead a life filled with hope and quality (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006). However, this is not always the case with teenagers who have had previous pregnancies. Teenagers who have had previous pregnancies may be pressurized from various quarters. They may be forced to lead a life filled with poverty, misery, hopelessness and depression. The counselor should in such situations be available to uplift such teenagers to lead a quality life. The counselor should consider such teenagers to be at a high risk for depression and suicidal tendencies. He should be able to assess the presence of such risk and accordingly take measures to protect the teenager. Teenagers under the difficulties of life, require love and care. For this reason, they may indulge in sexual activities. However, the performance of such activities may result in a critical error leading to the female girl becoming pregnant. The counselor should provide hope and motivation for the teenager to lead a fruitful life (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006). One of the most effective programs when it comes to social issues such as teenage pregnancy, community-based approaches seems to be very superior. The US Health and Human Services is one organization that is supporting the use of community-based programs for the prevention of pregnancy amongst teenagers. They would be using various resources such as financial, human, supportive, infrastructure, material, etc, to perform various activities such as building partnerships, researching, monitoring, evaluating, planning, disseminating knowledge, etc (Children’s Aid Society Carrera Adolescent Pregnancy Prevention Program, 2006 & US HHS, 2002). The CDC has taken the issue of teenage pregnancy prevention on a priority basis since the year 1995. The programs support various activities in order to help prevent teenage pregnancies. These include community actions, coordinated efforts, identify shortcomings, identifying and allocating resources, evaluating the project, etc. Several governmental and non-governmental would be taking part in such activities, including local, regional and federal (US HHS, 2002). Several other issues need to be considered in the teenage pregnancy prevention program. For the provision of reproductive health services, several health insurance options should be available to the teenagers (such as Medicaid and Medicare Services). Several of the State, Regional and Federal Public Health programs such as the State Children’s Health Insurance Program (SCHIP), Maternal and Child Health Services Block Grant, etc are meant for adolescent health and to prevent pregnancy in young teenage girls. Teenagers should also have facilities to help them with several other issues such as drug abuse, alcohol abuse, legal issues, etc (US HHS, 2002). In a teenage pregnancy prevention program, during the implementation certain principles need to be adhered to: –  · The objectives, goals and the expected outcome of the program should be clearly defined.  · The mode by which these objectives are to be achieved need to be determined.  · Collaboration should exist between the governmental organizations, non-governmental organizations, and private organizations.  · The involvement of teens in the program.  · The activities and the content of the program performed should be attractive to the teens.  · All activities should be constructive in nature.  · Cultural activities and local resources would provide huge amount of benefits.  · Use of local volunteers and counselors would also help in the program.  · Long-term support should be provided to the teens in helping to carve out something constructive for the future.  · The two measures by which the program would be acting include abstinence and contraception. Abstinence can delay the interest in indulging in sexual activity by the teen. Contraception methods and techniques should be taught. Males should be encouraged to take up contraception use, as it is more convenient and reduces the load on the females.  · The programs should be developmentally appropriate.  · Decision-making skills and problem-solving methods should be taught to the teenagers.  · Several health services such as gynecological services, obstetrics services, adolescent health, pregnancy testing, prevention and treatment for STD’s, contraceptive counseling, etc. The health services should incorporated certain features including confidentiality, informed consent, flexibility in appointments, free services, etc. (Davies, 2007). References: ASPE-HHS (2007). â€Å"Involving Health Care Professionals in Teen Pregnancy Prevention.† Retrieved on December 14, 2007, from ASPE-HHS Web site: http://aspe.hhs.gov/HSP/get-organized99/ch10.pdf Blank, L., Goyder, E. & Peters, J. (2003). â€Å"Teenage pregnancy prevention initiatives in New Deal Communities.† Retrieved on December 14, 2007, from The University of Sheffield Web site. Center For Maternal And Child Health (2007). â€Å"Teen Pregnancy Prevention Program.† Retrieved on December 14, 2007, from Advocates for Youth Web site: http://www.fha.state.md.us/mch/html/teenpreg.cfm Children’s Aid Society Carrera (2006). â€Å"Adolescent Pregnancy Prevention Program.† Retrieved on December 14, 2007, from Children’s Aid Society Carrera Web site: http://www.stopteenpregnancy.com/ourprogram/ Connelly, M. T. & Inui, T. S. (2004). â€Å"Principles of Disease Prevention.† In: Braunwald, E., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L. and Jameson, J.L. (Eds) Harrison’s Principles of Internal Medicine, New York: McGraw-Hill. Davis, L. (2007). â€Å"Components of Promising Teen Pregnancy Prevention Programs.† Retrieved on December 14, 2007, from Advocates for Youth Web site: http://www.advocatesforyouth.org/publications/iag/compnent.htm Huberman, B. (2005). â€Å"National Teen Pregnancy Prevention Month (NTPPM) Planning Guidebook.† Retrieved on December 14, 2007, from Advocates of Youth Web site. Kohli, V. & Nyberg, K. L. (2007). â€Å"Teen Pregnancy Prevention through Education.† Retrieved on December 14, 2007, from California State University Web site. Ontario’s Maternal, Newborn and Early Child Development Resource Centre and the Sex Information and Education Council of Canada (2007). â€Å"Update report on Teen pregnancy prevention.† Retrieved on December 14, 2007, from OMNECD Web site: PCL (2007). â€Å"Unplanned Pregnancy Counselling.† Retrieved on December 14, 2007, from PCL Web site: http://www.pcl.org.au/ SHPPS (2006). â€Å"Pregnancy Prevention.† Retrieved on December 14, 2007, from SHPPS Web site. The National Campaign To Prevent Teen and Unplanned Pregnancy (2006). â€Å"Teen Pregnancy – So What?† Retrieved on December 14, 2007, from Teenage Pregnancy.org Web site: http://www.teenpregnancy.org/whycare/sowhat.asp US HHS (2002). â€Å"Preventing Teenage Pregnancy.† Retrieved on December 14, 2007, from US HHS Web site: http://www.policyalmanac.org/health/archive/hhs_teenage_pregnancy.shtml Weiss, D. (2007). â€Å"Reducing Teenage Pregnancy.† Retrieved on December 14, 2007, from Planned Parenthood Web site: http://www.plannedparenthood.org/news-articles-press/politics-policyissues/teen-pregnancy-sex-education/teenage-pregnancy-6240.htm University of Richmond (2003). â€Å"Teenage Pregnancy Prevention.† Retrieved on December 14, 2007, from University of Richmond Web site: http://www.solutionsforamerica.org/healthyfam/teenage-pregnancy.html

Tuesday, October 22, 2019

Free Essays on Physician Assisted Suide

In today's society, one of the most controversial issues is physician-assisted suicide for the terminally ill. Many people feel that it is wrong for people, regardless of their health condition, to ask their health care provider to end their life; while others feel it is their right to be able to choose how and when they die. When a physician is asked to help a patient into death, they have many responsibilities that come along with that single question. Among those responsibilities are: providing valid information as to the terminal illness the patient is suffering, educating the patient as to what their final options may be, making the decision of whether or not to help the patient into death, and also if they do decide to help, providing the lethal dose of medication that will end the patient's life. For those who believe physician-assisted suicide should be their choice, they feel it should be legalized because: they don't want to go through the suffering caused by the terminal i llness; they fear the loss of their autonomy (independence); becoming a burden to their family or friends, and also the fear of dying alone. One the other hand those opposed to assisted suicide feel it goes against religious beliefs and medical ethics. They also believe that there is always the possibility that a miracle will occur and the patient will overcome the illness and also that the doctor could have provided the wrong prognosis/diagnosis to the patient. The strongest reason against physician-assisted suicide has been the idea that if assisted suicide becomes legal, it will get out of hand and target certain people in society, such as those with disabilities, or certain races. In 1990, physician-assisted suicide became better known to the public when Dr. Jack Kevorkian, a retired pathologist, helped to assist his first patient into death (Landau 80). Kevorkian had created a machine, known as the "suicide machine", which was made up of three glass b... Free Essays on Physician Assisted Suide Free Essays on Physician Assisted Suide In today's society, one of the most controversial issues is physician-assisted suicide for the terminally ill. Many people feel that it is wrong for people, regardless of their health condition, to ask their health care provider to end their life; while others feel it is their right to be able to choose how and when they die. When a physician is asked to help a patient into death, they have many responsibilities that come along with that single question. Among those responsibilities are: providing valid information as to the terminal illness the patient is suffering, educating the patient as to what their final options may be, making the decision of whether or not to help the patient into death, and also if they do decide to help, providing the lethal dose of medication that will end the patient's life. For those who believe physician-assisted suicide should be their choice, they feel it should be legalized because: they don't want to go through the suffering caused by the terminal i llness; they fear the loss of their autonomy (independence); becoming a burden to their family or friends, and also the fear of dying alone. One the other hand those opposed to assisted suicide feel it goes against religious beliefs and medical ethics. They also believe that there is always the possibility that a miracle will occur and the patient will overcome the illness and also that the doctor could have provided the wrong prognosis/diagnosis to the patient. The strongest reason against physician-assisted suicide has been the idea that if assisted suicide becomes legal, it will get out of hand and target certain people in society, such as those with disabilities, or certain races. In 1990, physician-assisted suicide became better known to the public when Dr. Jack Kevorkian, a retired pathologist, helped to assist his first patient into death (Landau 80). Kevorkian had created a machine, known as the "suicide machine", which was made up of three glass b...

Monday, October 21, 2019

5 nursing career specialties to pursue in 2019

5 nursing career specialties to pursue in 2019 Healthcare is one of the fastest-growing fields right now- and nursing is at the heart of this growth. According to the U.S. Bureau of Labor Statistics, the nursing profession is expected to grow by at least 19% by 2026, much faster than average for all jobs. If you’re thinking about a career in nursing, here are five fast-growing specialties to consider.Nurse PractitionerNurse practitioners (also known as advanced practice registered nurses, or APRNs) are an MVP when it comes to family or general medical practices. They provide standard nursing care (recording patient histories, examining patients, performing diagnostic tests, administer medicine or treatments), while also being able to perform tasks usually done by physicians, like prescribing medicine, ordering tests, and diagnosing illnesses.What you’ll need: A master’s degree in nursing, plus passing a national certification exam and becoming licensed. Each state’s licensing requirements may vary, so be sure to check your own state’s requirements.What it pays: The median salary for nurse practitioners is $110,930 per year, or $53.33 per hour.The outlook: The number of nurse practitioner jobs is expected to grow by an incredible 31% by 2026.Neonatal NurseNeonatal nurses care for premature babies, usually in a Neonatal Intensive Care Unit (NICU) in a hospital. Because of the critical health problems experienced by many newborns, neonatal nurses provide essential, extensive care.What you’ll need: A bachelor’s degree in nursing, plus specialized training. You’ll need to be licensed as well. Each state’s licensing requirements may vary, so be sure to check your own state’s requirements.What it pays: The median salary for neonatal nurses is $65,000 per year, or $31.25 per hour.The outlook: The number of neonatal nurse jobs is expected to grow at least 17% by 2026.Nurse MidwifeNurse midwives are advanced practice nurses who care for expectant m others and their newborns. A nurse midwife coordinates care during pregnancy and assists during childbirth and after the delivery for both the mother and baby.What you’ll need: A bachelor’s degree in nursing, plus specialized training. You’ll need to be licensed as well. Each state’s licensing requirements may vary, so be sure to check your own state’s requirements.What it pays: The median salary for nurse midwives is $100,590 per year, or $48.36 per hour.The outlook: The number of nurse midwife jobs is expected to grow at least 31% by 2026.Nurse AnesthetistOne of the fastest-growing and highest-paying nursing specialties is the nurse anesthetist. Nurse anesthetists provide anesthesia to surgical patients, working with physicians, surgeons, and other operating room staff. In addition to anesthesia, nurse anesthetists may help coordinate pre-and post-surgical care for patients as well.What you’ll need: A bachelor’s degree in nursing, p lus a master’s degree and/or specialized training in nurse anesthesia. You’ll need to be licensed as well. Each state’s licensing requirements may vary, so be sure to check your own state’s requirements.What it pays: The median salary for nurse anesthetists is $160,270 per year, or $77.05 per hour.The outlook: The number of  nurse anesthetist jobs is expected to grow at least 22% by 2026.Nurse EducatorOne of the most valuable roles in the nursing community is teaching the next waves of nurses. This crucial role combines medical and clinical skills with teaching skills, and can be a good fit for nurses who have strong communication and leadership skills. Nurse educators may teach and train nurses at all levels, from specialized nursing training programs to bachelor’s, master’s, or doctorate nursing programs. The constant demand for high-quality nurses means that there is high demand for nursing teachers as well.What you’ll need: A ba chelor’s degree in nursing, and potentially a master’s degree or PhD, depending on what you’ll be teaching. You may also need specific clinical experience, depending on the program.What it pays: The median salary for nurse educators is $71,260 per year.The outlook: The number of nurse educator jobs is expected to grow at least 19% by 2026.Whichever nursing path you choose, know that it’s a rewarding, challenging field with many opportunities open to explore your specific passion and talent.

Sunday, October 20, 2019

Infuse vs. Suffuse

Infuse vs. Suffuse Infuse vs. Suffuse Infuse vs. Suffuse By Mark Nichol What’s the difference between infuse and suffuse? To infuse something is to literally or figuratively fill it; the senses include â€Å"animate,† â€Å"inject,† â€Å"inspire,† â€Å"introduce,† â€Å"permeate,† and â€Å"steep.† One that or who infuses is an infuser, the act of infusing is called infusion. Suffusion is a closely related concept, but suffuse means, in addition to â€Å"fill,† to â€Å"spread over or through,† as if with light or liquid; synonyms include flush. These terms and their several cousins all have in common a root based on the Latin term fundere, meaning â€Å"pour,† and are related to the verb found in the sense of melting and pouring into a mold, as is done at a foundry. (The other senses of found, the past-tense form of find and the word meaning â€Å"establish,† have separate origins.) Etymologically related words include fuse in the sense of â€Å"blend or join† and its noun form fusion. (The noun fuse, referring to an electrical device or a cable or cord used in lighting an explosive- in the latter sense, also spelled fuze- is unrelated.) Then there’s confuse, meaning â€Å"make difficult to understand,† â€Å"cause someone difficulty in understanding,† or â€Å"mistake someone or something for another†; the synonym confound, which can also mean â€Å"prove wrong† as well as â€Å"increase confusion,† has the same origin. Diffuse means â€Å"spread out†; the adjectival form means â€Å"not concentrated.† The quality of being diffuse is diffuseness, and the noun form for the act of spreading out is diffusion. (Diffuse is not to be confused with defuse; that word is an antonym of the unrelated sense of fuse.) Effuse is a synonym for diffuse in the sense of being spread out amorphously; the verb form, used more often than the adjectival form, means â€Å"pour out† or â€Å"display much or excessive enthusiasm.† (The adjectival form for the latter sense is effusive.) Perfuse is a rare synonym for diffuse or suffuse with the additional sense of forcing the flow of a liquid through something (it has no adjectival form), and transfuse, meaning â€Å"permeate† or â€Å"transmit,† also has a sense of â€Å"transfer†; the common noun form associated with this meaning is transfusion. (Something that can be transfused is transfusible; that word is sometimes spelled with an a instead of an i.) The noun and verb forms of refuse are unrelated; its Latin progenitor, refusare, probably originated as a mash-up of refutare and recusare, the Latin words from which refute and recuse are derived. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:50 Rhetorical Devices for Rational Writing40 Synonyms for â€Å"Different†Using Writing Bursts to Generate Ideas and Enthusiasm

Saturday, October 19, 2019

Traditional male heterosexuality Essay Example | Topics and Well Written Essays - 3000 words

Traditional male heterosexuality - Essay Example At the same time they were expected to be emotionally insensitive especially to intimate issues. Women were regarded as sex objects to bear children and serve the men while remaining to take care of the home. Role distribution between males and females was clear cut. As it is evident, changes have been first and swift. From the hardened and burly figure, the modern heterosexual has taken the level of manhood to the next level. Areas of operation originally seen as women zones have become a dominant resting place for the modern heterosexual man. To begin with, the present day man has shifted from the hardened burly to a soft sponge that is available for only pleasurable ventures. Men form the advertising sought after images, they do household chores, they intimately relate with both females and males, and they abuse drugs among other things that were detested by the traditional man. This leads to the position that man has changed from his rough nature to the soft one that is on show at present. Heterosexuality reflects sexual behavior, identity, and practices that indicate a desire or preference for the opposite gender. In terms of sexual orientation, heterosexuality is used in reference to a lasting mode of or character to practice affection, physical, sexual, or romantic attractions chiefly to people of the opposite sex. It can also refer to an individual sagacity of social and personal identity on the basis of those attractions, behaviors, and association in a group of people who subscribe them. The term typically applies to human beings. But it is also observed in respect to all mammals. There have arisen changes that have altered male behavior as reflected by the works of Palahniuk and Hollinghurst. The bodily deed of heterosexual fertilization is the only way of sexual reproductive potential in humans devoid of the use of recent guided reproductive technologies. The relations with romantic love plus

Global warming and the environmental stratagies of the United States Essay

Global warming and the environmental stratagies of the United States - Essay Example military to focus â€Å"more on readiness and on military training and operations† (Green, 1999). Recent literature supports the fact that most conservation and prevention programs in the U.S. are voluntary and consist of â€Å"near-term opportunities (voluntary and partnerships) to conserve fossil fuel, recover methane, and sequester carbon† (EPA, 2007). Social systems in the United States provide much in the way of educating society about the effects of global warming. But, despite knowing the consequences of behaviors American’s have done little to change their behaviors when it comes to conservation and global warming. One major pollutant that is causing global warming is emissions from industries and automobiles. Despite knowing that these emissions harm the environment American’s still drive their automobiles with no passengers (no car pooling) because they are not willing to give up the freedom to travel when and where they want at any time. Industries barter for emissions allowances through a system that â€Å"sets limits on emissions and then allows companies to buy and sell emissions credits.†(Martin, B-1). This allows the states to set emissions caps but allows heavy polluters the opportunity to buy credits rather than reduce emissions. But, the ability to sell credits not used awards industries that c ut emissions. Citizen behavior probably would change in response to legislation or in reaction to direct consequences. Thus, it would be in the best interest for the United States to move away from voluntary participation to mandated participation by industries. The United States is a ‘throw away’ society where people simply discard what they don’t want as trash and use resources with little regard for the environment. And, Americans do not carpool as much as is recommended because of the inconvenience. Another major concern caused by global warming

Friday, October 18, 2019

International Education Personal Statement Example | Topics and Well Written Essays - 500 words

International Education - Personal Statement Example As an educator, I would like to be a part of this movement of educational globalization and I am banking on the Institute of Education to significantly assist me through enlightenment and empowerment so that I may be able to take on the challenges of international education. Through the Educational Doctoral program at the Institute of Education, I hope to achieve professional development in three areas: First, with the Institute's strength in academic discipline and through the guidance of my mentors, I will be able to sharpen my professional ability for critical analysis, broaden my knowledge on educational theories in the fast changing international education arena, hone my academic leadership skills and build effective strategies to respond to challenges, issues and concerns of institutes, educators, students, and their families. Second, with research support from the Institute of Education, I would like to create a cooperative educational model that synergistically supports educational institutes and international students with specific application on the Elpis Project. I have witnessed tremendous growth in the international educational market especially, in the numbers of students joining exchange student programs.

Saudi Aramco Procurement Process Essay Example | Topics and Well Written Essays - 3250 words

Saudi Aramco Procurement Process - Essay Example The millennium is characterized with information technology as instrument for world wide business expansion, networking and in engaging with business partners for sustainable operations. Information technology also improved communication processes and hastened responses to corporate needs and systematized all operations. For some institutions and companies, this optimized virtual mechanism for complex procedures by thoroughly mainstreaming transactional contract relations. This means that through technology, corporation evolved into certain level of structural sophistication in centralizing internal mechanism and resolving once complex manual procedures, including assertiveness in the interaction of business decision processes. All this are made possible through the development of systematized digitized system of information technology. This essay will attempt to explicate and illustrate how information technology improved procedural procurement engendered organizational readiness in terms of corporate financial and technological resources as well as of its capacity to respond to external pressure due to competition with trading. Transactional relations of contact and procurement are now even done using the internet. It will also attempt to analyze if hard system model befits Saudi Aramco Company’s procurement procedures. Procurement Procedure is a process on how a contract is obtained. It is a mechanism to control the nature, object, expectations, and delivery of outcome based on agreements. It is a universal mechanisms adopted by companies and institutions that are operating in large scale, or in a multi-enterprise level with expensive capital investments but is constantly confronted with concerns on production technologies adaptation, volatile markets and pervasive regulation (Estache & Atsushi (2008). This situation is true with oil and gas extractive industries where there are standards and control mechanism that should be adopted to systematize its operations. This is considered as complexity management. Managing Information System There is a systematic approach used in managing information systems. This approach is technology-focused, process-sensitive, quantitative and qualitative in application and methodical in analysis, procedures, tools and techniques (Dumitrascu, 2006). This is evident in computerized system designed by infotech experts like Cisco. It helped in knowledge management and in systematizing transactions by increasing it company’s corporate virtual realities, although these require persons equipped with knowledge to ensure that the system will be effectively interactive. This means that the person must be knowledgeable too in maximizing digitized information in documentation as well as in technical system optimization to protect it from overload and techie backlog. Complexity management treats all hard structured and soft unstructured problems. Its system is rational, scientific and logical and itâ₠¬â„¢s developed with the assumption that the world is clear out there and can be customized based on our needs (Dumitrascu, 2006). Complexity management can be done using varied diagrams. This can be Spray Diagram, Systems Maps, Influence Diagrams, Multiple-cause diagrams, Sign graphs, and Control Model Diagram. These are explicated as follows: a. Influence Diagram— also known as relevance  analysis or a decision network illustrated graphical and mathematical representation in decision-making. It was developed in 1970s and is now adopted widely and becoming an alternative to  decision tree which typically suffers from  exponential growth  in number of branches with each variable modeled (Detwarasiti and Shachter, 2005 ; Holtzman,1989). ID is practicable for team decision analysis because it allows incomplete sharing of information among team members to be modeled and solved explicitly. The semantic of

Thursday, October 17, 2019

Introduction on polymers Essay Example | Topics and Well Written Essays - 1500 words

Introduction on polymers - Essay Example Thermosetting polymers the chains become cross-linked so that the solid materials are produced that can not be softened and that ca not flow. Polymers are usually made in one of two polymerization process. In condensation-polymerization the linking of molecules creates a by product, which is usually water nitrogen or hydrogen gas. Thermoplastic polymers consist of a series of long-chain polymerized molecules in which all the chains are separate and can slide over one another. Thermoplastic polymers The long chains of thermoplastic polymer are connected by weak forces alongside the chemical bonds extremely strong. When they are heated the walls weaken and the polymer becomes soft and flexible at a high temperature and becomes a viscous melt. The cycle can be reversed by cooling of the materials. Thermoplastic elements usually can be of semi-crystalline structure or amorphous structure. Civil engineering materials such as polyester, nylon 66 and polycarbonate are the best examples of a morphous thermoplastic polymers. The developments polymers technology has led to high performing types of polymers such as polythersulphone which is amorphous in nature and polyetheretherketone which are semi crystal-line. The above two are more efficient than the normal thermoplastic, although they are not employed in civil engineering due to high costs. Thermosetting polymers They can be used in two separate ways firstly as a composite that is when combined with fibrous materials and secondly when as an adhesive and maybe as epoxies. They are formed in two stage chemical reaction when a polymer such as polyster, vinylester or epoxy is reacted with a curing agent. The reaction can be performed in a normal room temperature or the application of either controlled heat or pressure. Thermosetting polymers are strong in nature and can be affected by heat. The two procedures used to polymerize the thermosetting polymers used in civil engineering are the cold system that are cured at ambi ent temperatures and the hot cure system whereby polymerization is performed at elevated temperatures. Polymer science The research on polymer science continues to come up producing new products in the market. The polymer science and engineering are marching together although they are more interested on new materials being produced. Poly was scientifically born to understand how rubber and plastic works and they can not be separated. Polymers are now forming the basis of clothing and automobiles among others. New elastomeric, plastics, adhesives, coatings and fibers among others are being invented by the use of new technology in science. The scientific theory accepts the relationship between polymer structure, physical property and their behavior. Polymers are playing a very important role in processing of other industrial products. Anisotropy in thermoplastic polymers plays a significant role in thermal conductivity. Highly drawn semi-crystalline polymer samples can have a much hig her thermal conductivity as a result of orientation of the polymer chains in the direction of draw. For amorphous polymers, the increase in thermal conductivity in the direction of the draw is usually not higher than two. Many polymers experiment a viscous reaction as an elastic response towards stress and strain. Combinations of some elastic and various viscous elements are being used to determine the melting behavior of polymers. The above characteristics make them be classified under the

Ethical Conduct in Scientific Research Paper Example | Topics and Well Written Essays - 500 words

Ethical Conduct in Scientific - Research Paper Example Suffering from latent syphilis meant that they had the infection but they showed no sign of the disease until late stages. For about 40 years, the poor men were never told that they were suffering from the disease and were never treated. Instead, they were only told that they had â€Å"bad blood† and were not given penicillin even though it was the standard cure for the disease that was available in 1947. The aim of the study was to find out whether syphilis affected the black men in a different way from the way it affected the white men (Katz & Warren, 2011). For participating in the study, men were given free ride to and from the Tuskegee clinic in Alabama. In addition, they were given hot meals and free treatment for minor ailments. For instance, they were given only aspirin and mineral supplements to cure minor ailments so that the treatment procedure could not interfere with their study. Much worse, even the 250 men from the Second World War drafted from the war to volunteer in the study, arrangements were made to make sure they remained part of the study. When the study ended in 1972, there was a public outcry and only 74 men of the original participants stayed alive. Other negative outcomes involved 28 men who died from syphilis and related complications, while 40 wives were infected with the disease and 19 children suffered from congenital syphilis. Survivors of the study received financial compensation from the United States and President Bill Clinton was forced to declare on behalf of the state that US had done a shameful thing (Katz & Warren, 2011). United States demonstrated heinous acts in the study that were considered to be morally wrong. It was unethical for the Tuskegee clinicians to conduct the study without the consent of the patients, according to the World Health Organizations Declaration of Helsinki of 1964. Clinical centers must conform to the ethical conducts stipulated by the legal structures. However, in Tuskegee case, they

Wednesday, October 16, 2019

Introduction on polymers Essay Example | Topics and Well Written Essays - 1500 words

Introduction on polymers - Essay Example Thermosetting polymers the chains become cross-linked so that the solid materials are produced that can not be softened and that ca not flow. Polymers are usually made in one of two polymerization process. In condensation-polymerization the linking of molecules creates a by product, which is usually water nitrogen or hydrogen gas. Thermoplastic polymers consist of a series of long-chain polymerized molecules in which all the chains are separate and can slide over one another. Thermoplastic polymers The long chains of thermoplastic polymer are connected by weak forces alongside the chemical bonds extremely strong. When they are heated the walls weaken and the polymer becomes soft and flexible at a high temperature and becomes a viscous melt. The cycle can be reversed by cooling of the materials. Thermoplastic elements usually can be of semi-crystalline structure or amorphous structure. Civil engineering materials such as polyester, nylon 66 and polycarbonate are the best examples of a morphous thermoplastic polymers. The developments polymers technology has led to high performing types of polymers such as polythersulphone which is amorphous in nature and polyetheretherketone which are semi crystal-line. The above two are more efficient than the normal thermoplastic, although they are not employed in civil engineering due to high costs. Thermosetting polymers They can be used in two separate ways firstly as a composite that is when combined with fibrous materials and secondly when as an adhesive and maybe as epoxies. They are formed in two stage chemical reaction when a polymer such as polyster, vinylester or epoxy is reacted with a curing agent. The reaction can be performed in a normal room temperature or the application of either controlled heat or pressure. Thermosetting polymers are strong in nature and can be affected by heat. The two procedures used to polymerize the thermosetting polymers used in civil engineering are the cold system that are cured at ambi ent temperatures and the hot cure system whereby polymerization is performed at elevated temperatures. Polymer science The research on polymer science continues to come up producing new products in the market. The polymer science and engineering are marching together although they are more interested on new materials being produced. Poly was scientifically born to understand how rubber and plastic works and they can not be separated. Polymers are now forming the basis of clothing and automobiles among others. New elastomeric, plastics, adhesives, coatings and fibers among others are being invented by the use of new technology in science. The scientific theory accepts the relationship between polymer structure, physical property and their behavior. Polymers are playing a very important role in processing of other industrial products. Anisotropy in thermoplastic polymers plays a significant role in thermal conductivity. Highly drawn semi-crystalline polymer samples can have a much hig her thermal conductivity as a result of orientation of the polymer chains in the direction of draw. For amorphous polymers, the increase in thermal conductivity in the direction of the draw is usually not higher than two. Many polymers experiment a viscous reaction as an elastic response towards stress and strain. Combinations of some elastic and various viscous elements are being used to determine the melting behavior of polymers. The above characteristics make them be classified under the

Tuesday, October 15, 2019

Why is the fiction important to our non-fiction world Essay

Why is the fiction important to our non-fiction world - Essay Example p inherent within the values that the non-fiction works advocate and thus it provides for strong reasoning that the non-fiction writing works are generally more open to debate and criticism than the fiction texts. In this non-fiction world, the society plays a great role at changing the way fiction is taken and studied at the same time. There is a sense of pessimism related with fiction as it reflects barely upon the society and its criticism which is more or less a pictorial representation of stating the facts and truths as and when they unfold. Fiction essays and pieces of criticism look to solve the maze that develops within a reader’s mind from time to time. Since he is fed with so much information and data on his side, he is unaware of the glorified ways that his life can turn into with the reading of fiction by his side. They seem to hide within the walls of fiction and remain on the backburner of different issues for most of the instances. (Ziolkowski, 1997) The reader goes in a deep cave, away from the practicalities of life and finds an escape route within fiction. What this offers is the other side of the truth. Fiction essays provide mystery, romance and so much more to the idle mind, which is also idealistic in nature. Literature has left an indelible impression on the minds of the common people within the society, be it in the form of fiction or non-fiction. Literature has opened up avenues of the thought process and has given them insight on different subjects, events, situations and generally about people. What is now reality seemed to be a craving in the distant past since literature was not easily accessible by the commoners and they had to pay for it to make it their own. Fiction has seemed to play a pivotal role within the world realms as it presents the ‘other’ side of the world in a way. It makes people look ideal from an irrational setting. They become super-humans as a matter of fact. Thus fiction portrays the desires and cravings of

Monday, October 14, 2019

Ghana, the mixed capitalist Essay Example for Free

Ghana, the mixed capitalist Essay Gold Coast, now Ghana had his independence in 1957 after a long struggle with our colonial masters, the British by Kwame Nkrumah and others who helped in diverse ways such as â€Å"the Big Six† and others. Colonized by the British, Ghana has gone through a lot of systems of governance; Monarchical, autocracy and now democracy. So is with economic systems which go with any form of governance system. Currently there are about four (4) economic systems in the world which are; socialist, capitalist, mixed economy (Socialist and Capitalist) and Islamic economic jurisprudence. The Economic Systems All these are economic systems and it is defines those who controls and owns the economic resources which forms the â€Å"means† in economics. Every economy is measured by the usage of its means and the nature of the â€Å"means† owners determines the kind of economic system the country runs. Socialist system of economy is a one that has its resources highly controlled by the central government. E. g. USSR (Russia, Ukraine, Yugoslavia etc), the Capitalist economy is that whose resources is highly owned and controlled by private individuals or a body other than the government. E. g. USA, UK, part of Europe etc. The Mixed economy is that which combines both the socialist and the capitalist economic systems to run the country’s economy. In that, the central government controls part of the economy whiles the other part is controlled by private participation. Functions of the Economic Systems There are multiple components to economic systems. Their interaction may be coherent or result in instability. Decision-making structures of an economy determine the use of economic inputs (the factors of production), distribution of output, the level of centralization in decision-making, and who makes these decisions. Decisions might be carried out by industrial councils, by a government agency, or by private owners. Every economic system represents an attempt to solve three fundamental and interdependent problems: What goods and services shall be produced and in what quantities? How shall goods and services be produced? That is, by whom and with what resources and technologies? For whom shall goods and services be produced? That is, who is to enjoy the benefits of the goods and services and how is the total product to be distributed among individuals and groups in the society. E. g. the current load management by the VRA and the ECG. Thus every economy is a system that allocates resources for exchange, production, distribution and consumption. The system is stabilized through a combination of threat and trust, which are the outcome of institutional arrangements. An economic system possesses the following institutions: Methods of control over the factors or means of production: this may include ownership of, or property rights to, the means of production and therefore may give rise to claims to the proceeds from production. The means of production may be owned privately, by the state, by those who use them or be held in common. A decision-making system: this determines who is eligible to make decisions over economic activities. Economic agents with decision-making powers can enter into binding contracts with one another. A coordination mechanism: this determines how information is obtained and used in decision-making. The two dominant forms of coordination are planning and markets; planning can be either de-centralized or centralized, and the two coordination mechanisms are not mutually exclusive and often co-exist. An incentive system: this induces and motivates economic agents to engage in productive activities. It can be based on either material reward (compensation or self-interest) or moral suasion (for instance, social prestige or through a democratic decision-making process that binds those involved). The incentive system may encourage specialization and the division of labour. Organizational form: there are two basic forms of organization: actors and regulators. Economic actors include households, work gangs and production teams, firms, joint-ventures and cartels. Economically regulative organizations are represented by the state and market authorities; the latter may private or public entities. A distribution system: this allocates the proceeds from productive activity, which is distributed as income among the economic organizations, individuals and groups within society, such as property owners, workers and non-workers, or the state (from taxes). A public choice mechanism for law-making, establishing rules, norms and standards and levying taxes. Usually this is the responsibility of the state but other means of collective decision-making are possible, such as workers’ councils. The Ghana’s Economy Ghana’s economy is purely a mixed type with the resources sharply divided between the public and private participation. The service sector is highly controlled by the government while the production sector is dominated by private and group participation. Decision making, which determines the direction of the economy and the type system, is done a lot of the times, through consultations with stakeholders of the economy. Example; when the power and water companies wanted to review utility tariffs to a certain percentage, there was a lot of consultations thereby; getting the rate we have now. Ghana, before the independence was purely capitalist. After independence, the then government focused on turning the economy into a communist/socialist system. They invested so much in agriculture which was the only sector controlled by the government and also reached out to industrialize the economy. Currently, Ghana is well-endowed with natural resources and agriculture accounts for roughly one-quarter of GDP and employs more than half of the workforce, mainly small landholders. The services sector accounts for 50% of GDP. Gold and cocoa production and individual remittances are major sources of foreign exchange. Oil production at Ghanas offshore Jubilee field began in mid-December, 2010, and is expected to boost economic growth. Finally, I may agree with the statement but require more facts to completely justify its truth. Ghana is a mixed economy but capitalist oriented on the face assessment value of the various sectors. But can justify, if all percentages of public/private participation of the economic sectors are well defined. This will couple with the clear policy direction of the present governments which has state on record as being social democrats and has manifestoes seeking to provide a lot for the people.

Sunday, October 13, 2019

9-1-1: An American Emergency :: September 11 Terrorism Essays

9-1-1: An American Emergency When hijackers coordinated the take-over of four passenger planes on September 11, they sent out a 9-1-1. It was truly an emergency call. Emergency comes from emerge and emergence, from the Latin word for to plunge out--it means to rise from, to come out into view. We have listened to stories of rescue and sacrifice. We have watched First Responders, the Fire and Emergency Medical teams that are first on the scene of a disaster. We have recognized so many people as the heroes they are. But it's not over. There is plenty of emergency response work still to be done, over a long period of time, and this gives us all a chance to be heroes in our own way. It was an airport security emergency and an air traffic control emergency. It was a national security emergency. It was a crisis management emergency. It was a belief and reality emergency--days later, I heard people repeating "It's not real, it's not real" and "I can't believe it." It was a shock and grief emergency, and experts say the trauma will go on for months and years. Some people are already discussing rebuilding on the site in lower Manhattan, but who will want to have an office to do business on a mass grave? It was a political emergency, and the government mobilized. It was an intelligence emergency--why didn't we know enough to prevent it? It was a religious and spiritual emergency--how can we understand the purpose of death and destruction on this scale? It was a patriotic emergency-- how do we respond to an "Attack on America?" It was a peace and justice emergency--do we have a repertoire of response that does not take the form of violent retaliation and retribution? It was a democracy emergency--how do we preserve our principles in adversity? It was a tolerance and understanding emergency--how do we keep from turning against people from other religious and cultural groups, ethnic groups and nationalities that we identify with the criminals, the enemy?

Saturday, October 12, 2019

Substance Abuse in the Workplace Essay -- Illegal Drugs Alcohol Addict

Substance Abuse in the Workplace Substance abuse in the workplace is one of the top concerns in the United States today. â€Å"Studies show that 73 percent of drug users are employed, costing American businesses billions of dollars annually in lost production and staffing costs (Walsh).† â€Å"Due to higher employment rates and rising substance abuse, the chances that your organization employs one of these 8.1 million workers is greater today than it has been in the past several years (Walsh).† Studies also reveal that employees who abuse drugs have a tremendously harmful effect on the workplace. They are more likely to have extended absences from work, show up late, be involved in workplace accidents, and file workers compensation claims. Substance abuse includes anything from drug use, such as cocaine and heroin, to alcohol abuse. Before I start to discuss the various ways to get control of substance abuse I would like to give you a small background of the impact of substance abuse on the world today. The department of labor has gathered some of the following information and statistics to show the world how it is being affected: †¢Substance abuse in the workplace costs are estimated at $100 billion dollars annually. †¢Alcoholism causes 500 million lost work days each year. †¢Drug-using employees at GM average 40 days of sick leave each year compared to 4.5 days for non-users. †¢In Ohio substance abuse treatment has shown significant improvements: - 91% decrease in absenteeism. - 88% decrease in problems with supervisors. - 93% decrease in mistakes in work. - 97% decrease in on-the-job injuries. Page 2 As you can see substance abuse is a very ser... ... the warning signs and implement a policy to attack the problem. Most likely it is going on right under your nose and you do not even know it. Take the time to step back and help your employees, the people that really make a difference to your company. You never know it might save you money. Bibliography: Works Cited Campbell, Reginald L. Substance Abuse in the Workplace. New York: Mcgraw Hill, 1990. Harris, Michael. Human Resource Managment: A practical Approach. New York: Dryden Press, 1997. Largent, Richard J. Preventing Substance Abuse in the Workplace. Boston: Houghton Mifflin Company, 1996. Loomis, Loyd. Drug Testing: A Workplace Guide to Designing Practical Policies. Chicago: BNA Plus, 1990. Walsh, Michael J. Drug and Alcohol Abuse in the Workplace. New York: Target Investment Inc., 1996.

Friday, October 11, 2019

Chloroplast Tour Guide

Tour guide script! Hello, my name is Seth and this is Mason. We will be your tour guides on this wonderful trip of the chloroplast Once we pass the cell membrane we will see a couple little green nuggets, these are known as chloroplasts. It’s what makes these plants autotrophs or organisms that create their own energy. They have no specific location and are usually spread throughout the cell’s cytoplasm. Alright we are going to pass into this chloroplast here. Once we pass through the outer membrane there is going to be a space between the outer and inner membrane.After we pass through this we will be into the chloroplast. Once inside the chloroplast we will stop by Grana Towers a great hotel complex, which will serve us with free desserts sweetened by the plants sugar itself, isn’t glucose great?! (After Meal at the Grana Towers) Let us proceed with the tour. Now if you look left you’ll see a huge stack of what looks like discs. This is a granum or a stac k of thylakoids. Now look around and notice the natural lighting. All of this light comes from the sun and helps convert carbon dioxide and water into glucose and oxygen.Plants are made green from a pigment called chlorophyll, which absorbs sunlight. This granum absorbs the sunlight inside the chloroplast. And starts what is called the light reaction. Which from the name you could probably tell uses light to fuel the reaction. That’s photosynthesis! As you can see here as we enter the granum. There is a light reaction now occurring. If you look closely to can see these little pigments, as I mentioned before, called chlorophyll. The energy from the sunlight allows water that is also absorbed to split creating oxygen, which is then released into to the atmosphere.This energy is also carried through a system of electrons creating an energy compound called NAPDH. But that’s not all; ATP which is the main energy storing compound in any plant cell is also produced during thi s part of photosynthesis. That was great now wasn’t it? Most of the tourist don’t get to witness a light reaction! You all are very lucky! Now I hope you all are some night owls because we’re going to need to stay up late to witness the Calvin Cycle; the part of photosynthesis that occurs once night comes.Now, for the time being let us return to Grana Towers and we will continue with our tour in a couple of hours. Oh, I almost forgot, Grana Towers will also be providing you with complementary salads for dinner! Yum! (Calvin Cycle) Ok now I know its late but you are about to witness the Calvin Cycle! The part of photosynthesis that occurs during the night. The place where this cycle occurs is in the stroma which is all the spaces in between all of the granum. Since there is no light to use for energy the Calvin Cycle relies on ATP and NAPDH to fuel its process.The Calvin Cycle process results in sugars. You know like the ones we had for dessert this morning! Anyw ay, it creates these sugars by using carbon dioxide which it converts into a 3-carbon molecule then goes through a system of other reactions to form PGAL; this compound allows the plant to make the sugars. I hate to say this! But now it’s time for us to say our goodbyes I really enjoyed your company and I wish you will comeback to once again enjoy this wonderful organelle! Well, Goodbye!

Thursday, October 10, 2019

Youth Outpatient Hiv Depression Care Health And Social Care Essay

Worldwide, HIV/AIDS and depression are the prima causes of disease load for immature people aged 10-24 old ages. ( 1 ) Young people aged 15-24 history for half of all new HIV infections worldwide. Every twenty-four hours, 6,000 immature people aged 15-24 old ages become septic with HIV, which is an dismaying tendency, since this is the largest young person coevals in history. ( 2 ) In sub-Saharan Africa, more than half of all new infections are among immature people, with misss being peculiarly affected and represent a higher proportion of reported HIV infections and reported AIDS instances among youth ages 13 to 19 than among any other age group. ( 3,4 ) Cases of HIV infection diagnosed among youth 13 to 24 could be declarative of overall tendencies in HIV incidence because this age group has more late initiated bad behaviors. ( 5 ) Regular attending at clinical centres is required for HIV infection to supervise disease patterned advance, to get down and so supervise the response to antiretroviral therapy, and to give of import information to the patient on minimising the hazard of transmittal. Despite this demand for regular monitoring, loss to follow up in HIV cohort ( surveies ) can be a common happening and is infrequently reported. ( 6 ) This current survey purposes to find a ) the incidence of loss to follow up among HIV infected youth accessing attention at a youth- focused and a family- centered clinic in Kisumu, Kenya ; B ) baseline socio- demographic and clinical features associated with loss to follow up Justification: Nyanza Province in Kenya has the highest load of HIV infection in Kenya, with the HIV prevalence standing at 14.9 % , which is more than twice the national norm of 7.1 % . The national HIV prevalence amongst young person aged 15-24 old ages is 3.8 % ( 5.6 % in females and 11.4 % in males ) whilst that amongst 15- 19 twelvemonth olds is 2.3 % ( 3.5 % in females and 1.0 % in males. ) ( 7 ) In Kisumu City, the prevalence amongst females aged 15- 19 twelvemonth olds is 23 % , whilst in male childs of the same age class it is 3.5 % . ( 8 ) Merely a little proportion of these young persons were accessing attention and support services and keeping to care was low, with merely 5.3 % of patients enrolled at the HIV attention clinics within Kisumu City were aged 13-21 old ages. It has been shown that up to 60 % of immature people populating with HIV may non be in everyday HIV attention. Youth-centred HIV plans report that one of the most ambitious facets of working with HIV-positive young person is prosecuting them ab initio and retaining them in attention once they are enrolled. Despite the best attempts of outreach staff, lost-to-follow-up rates remain unwantedly high. ( 5 ) A major programmatic challenge for youth-specific HIV services is maintaining HIV-positive young person connected to care and back up systems that can run into their demands for emotional support, guidance, and bar instruction while supervising demands for medical attention, nutrition intercessions, and ARV intervention. ( 9 ) Adolescents with peri- natally-acquired HIV have alone features that may perplex their passage into adult-oriented attention scenes. ( 10 ) In one of a series of surveies on HIV and young person in Brazil, most doctors go toing advanced HIV preparation agreed th at the Ministry of Health should set up targeted services for HIV-infected young person. Nevertheless, associating HIV-infected striplings to HIV attention has proved hard. ( 11 ) The long-run nature of of HIV intervention calls for particular accent on keeping in attention of septic young person. ( 4 ) Transitioning the medical attention of kids with peri- natally-acquired HIV from paediatric attention to internal medical specialty patterns has become progressively of import as newer therapies prolong endurance.MethodsStudy DesignThis retrospective analysis used informations routinely collected from HIV infected patients enrolled in attention at Lumumba Health Center and at Tuungane Youth Center, both in Kisumu municipality. Patients aged between 15- 21 old ages enrolled into attention between July 2007 and October 2010 were eligible for inclusion in the analysis. The survey was approved by the institutional reappraisal boards of the Kenya Medical Research Institute and the Centers for Disease Control- KenyaProgram descriptionFamily AIDS Care and Education Services ( FACES ) , is a family- centered HIV bar, attention and intervention plan funded by the United States President ‘s Emergency Plan for AIDS Relief ( PEPFAR ) through a co-operative understanding with the Centers for Disease Control ( CDC ) . FACES- Nyanza provides these services in more than 60 government- tally wellness installations across 6 territories in Nyanza state of Kenya. Tuungane Youth Center is a youth- specific plan run by Impact Research Development Organization and is funded by PEPFAR to supply VCT, ABY and STI showing and intervention to youth aged between 13- 21 old ages. It is based within Kisumu municipality, Nyanza, Kenya. In Nov 2005, these two plans collaborated with the purposes of bettering HIV services to the young person accessing attention at the two sites. Care at the two sites is standardized, with the same clinical visit/ brush signifiers and attention is offered, free of charge, harmonizing to standardised national guidelines. There is besides a clinical staff exchange plan between the two sites. To day of the month, FACES- Lumumba has enrolled xx.xxx patients ( x % youth aged between 13- 21years ) while Tuungane has enrolled xxxx HIV infected patients since the coaction began.Missed assignments and defaulter tracingFaces, through its Clinic and Community and Health Assistants ( CCHA ) section, runs an active defaulter following programme to better patient keeping. Upon registration, each patient ‘s reference and contact information is recorded. A patient losing his/ her assignment is identified from the day-to-day attending registry and sought 3 yearss after a lost assignment. This same defaulter following mechanism is in topographic point at Tuungane.Data aggregationSocio-demographic, clinical and pharmacological informations collected at each patient ‘s visit on a standardised clinical visit signifier is manually entered into an electronic medical records system that was launched at both sites in July 2007. FACES manages the database.VariablesThe primary result is loss to follow up ( LTFU ) , defined as a patient losing their last assignment by & gt ; 4 months. Socio-demographic and clinical features considered as independent forecasters of LTFU and analyzed as binary/ index variables were baseline: age, above or below the population survey mean ; gender, male or female ; marital/ civil position, married/ partnered or non and clinic type ; youth- specific vs. family- oriented. Highest educational degree attained was categorized into 4: â€Å" none † , â€Å" some primary † , â€Å" some secondary † and â€Å" some college/ university † . CD4 was categorized into 4 classs of: â€Å" & lt ; 50cells/mm3 † , â€Å" 50-100cells/mm3 † , 100-200cells/mm3 † and â€Å" & gt ; 200cells/mm3 † WHO clinical presenting had phases I-IV. ART position at LTFU was analyzed as a binary variable, of all time started vs. ne'er started on ART. Baseline was defined as up to 60 yearss upon registration. Patients transferred out of either clinic, or determined to hold died or withdrawn from attention were non considered as LTFU.Datas analysisChi- square ( I†¡2 ) trial was used to analyse the categorical variables and logistic arrested development was used to place factors associated with loss to follow up. Unadjusted and adjusted odds ratios ( ORs ) and the 95 % assurance intervals were calculated in the theoretical accounts. Kaplan- Meier method was used to gauge the incidence of LTFU, presented as events per 100 person- old ages, from day of the month of registration. The event day of the month of a LTFU was the day of the month of the last clinic visit in the records. Patients determined to hold been transferred out, withdrawn, or dead, informations was censored at their day of the month of last assignment or day of the month of decease if known. Datas on patients still in active attention at the terminal of the survey period was censored at the day of the month of their last clinic visit. Wilcoxon log- rank trial was used to compare survival curves. All analyses were performed utilizing STATA version 11/SE package ( StataCorp LP, College Station, USA )Consequences:Patient features:Over the 3-year period, 927 patients ( 79 % female, average age 20 old ages ) were identified to be eligible for inclusion in the information analysis. 63 % were enrolled at the youth- specific clinic and a bulk ( 66 % ) of those who had their educational province indicated ( n=837 ) , had attained some signifier of primary school instruction while merely 1.7 % had non accompanied school at all. 61.5 % were non married/ partnered and 5.9 % were reported to hold some signifier of employment. Majority of the patients were of good clinical and immunological position ( 81 % were WHO phase I & A ; II and 80 % had CD4 cell counts & gt ; 200/mm3 ) . Merely 3 % were WHO stage IV and 5 % CD4 cell counts & lt ; 50/mm3. 61 % of the patients had ne'er been started on ART. ( Table 1 )Loss to follow up:57.2 % of the patients were documented as LTFU ( 79.4 % female, 66.8 % at the youth- specific clinic, p 0.006 ) . A huge bulk of the patients were of good immunological and clinical position ( 81 % WHO phase I & A ; II and 82 % CD4 cell count & gt ; 200/mm3 ) and had ne'er been started on ART ( 75 % , P & lt ; 0.0001 ) . 54 % were above the survey population average age of 22 old ages. ( Table 1 ) There were a sum of 390 LTFU events over 743 person- old ages of follow up. The incidence of LTFU was 53.4 per 100 individual old ages. The average clip to LTFU was 1.6 old ages upon registration ( 95 % CI 1.5- 1.7 ) . The incidence was significantly higher in those who had ne'er started ART ( Log rank p 0.0047 ) ( Figure 1 ) Univariate logistic arrested development identified youth- specific site ( OR 1.46, 95 % CI 1.12- 1.91 ) and ART position ( OR 0.23, 95 % CI 0.18- 0.31 ) to be associated with LTFU. On multivariate logistic arrested development, merely ART position was associated with LTFU ( OR 0.28, 95 % CI 0.19- 0.41 ) . Gender, age, matrimonial position, educational degree, occupational position, WHO clinical phase and CD4 were all non prognostic of LTFU. ( Table 1 )Discussion:This survey shows that LTFU is really high among this vulnerable age group, more so at the youth- focused clinic. Youth go toing attention at a youth- specific clinic are 46 % more likely to acquire LTFU. This might intend that a family- focussed theoretical account of attention is better than the youth- focussed theoretical account but this might be because young person taking to go to the youth- focused clinic have different societal features that place them at higher hazard of LTFU compared to those go toing attention at the family- focused site e.g lower revelation position, higher stigmatisation, hapless household support. Surveies to measure differences in societal features between young person go toing attention at the youth- particular and the family- centered clinic are required. A cardinal determination of this survey is that being on ART protects against LTFU even after commanding for other factors, consistent with other similar surveies done in grownup populations elsewhere. ( 12, 13, 14 ) HIV infected young person who are good clinically and immunologically and therefore non measure up for ART may non see the ground to adhere to their follow up visits. They may merely so return to the clinic when their wellness deteriorates and are likely to remain in attention as they receive ART. This could besides intend that attachment guidance to those non on ART is hapless or that the really ill ( and therefore necessitate ART ) are taken to the family- focused clinic by their similarly HIV infected household members. Surveies have demonstrated that mortality and loss to follow up rates are higher in patients non on but eligible for ART. ( 13 ) High pre- ART loss to follow up and particularly in those with less advanced clinical phase raises concern, since they are likely to be engaged in hazardous sexual patterns. ( 12 ) Strategies to enable earlier start of ART and to advance keeping in attention are required. In this survey, 50 % of patients got lost at 1 twelvemonth and 7 months of registration. Time from induction of ART to loss to follow up was nevertheless, non determined. Surveies among big populations found that on norm, 21 % of HIV infected patients get lost from attention in the first six months after get downing ART and approximately 40 % of patients are lost at two old ages, with big fluctuation in keeping rates. ( 15 ) There is demand for intercessions that improve linkage to care and prioritise ART induction particularly for those with low baseline CD4 counts. ( 16 ) There was no association between LTFU and clinical/ immunological position and others have besides shown that more advanced HIV disease and the absence of clinical phase appraisal are strongly associated with the hazard of decease ; but non with no followup or a loss to followup in the first 6 months. ( 17 ) Sarah et al nevertheless, reveal low baseline CD4 counts and unemployment to be independently associated with being lost to follow up. ( 18 ) Employment position was non associated with LTFU in this survey From the database, merely 60 patients were identified as discontinued from attention ( 9 deceased, 48 transferred to other clinics and 3 withdrew from attention ) and were therefore non defined as LTFU. Surveies to look into the true results of all patients defined as LTFU are required, since they could fall into one of three classs: wholly out of attention, go toing attention at other installations or deceased ( 19 ) . Patients who do non return for followup at clinics supplying comprehensive HIV/AIDS attention require particular attending. This is peculiarly true where resources are limited and clinic tonss are high. ( 20 ) Patients non doing their assignments may hold stopped taking antiretroviral drugs, ensuing in high mortality ; or may hold transferred to another plan. In ART programmes in resource-limited scenes a significant minority of grownups lost to follow up can non be traced, and among those traced 20 % to 60 % had died. ( 15 ) Constitution of systems for monitoring and following loss-to-follow-up patients, and to implement schemes for bettering keeping in attention is required for all HIV clinics. ( 18 ) Study strengths and failings: The follow up period of three old ages and a ample population gives the survey some strength, though the findings would non be generalizable to the full population since it involved merely one family- focused and one youth- focused clinic in Kisumu, Kenya. The theoretical account used in this survey was a hapless forecaster of the result. Similar surveies elsewhere are warranted.Decision:Newer and advanced attacks to retain HIV septic young person in attention, even at young person specific clinics, are desperately required. In the interim, targeted guidance should be directed toward HIV infected youth non yet get downing ART.Recognitions:I ‘d wish to admit all staff and patients at FACES and Tuungane who made this survey possible and to my advisers at UCB for the huge support and valuable way in making this survey.